Department of Psychiatry and Psychotherapy, University Medical Center Freiburg, Germany.
Clin Psychol Rev. 2012 Aug;32(6):454-66. doi: 10.1016/j.cpr.2012.04.005. Epub 2012 May 26.
Only a small percentage of patients with obsessive-compulsive disorder (OCD) receive adequate treatment. Reasons include a high level of shame and stigmatisation and the paucity of specialised treatment services. Telemental health (TMH) treatment could improve the therapeutic situation as has been shown for various mental disorders. This review critically evaluates the current body of evidence on TMH applications for OCD patients. The review focuses on studies that include exposure therapy with response prevention as the best validated treatment component.
Relevant publications were identified through computerised searches of the databases PsycINFO and PubMed and manual searches. No date or study type restrictions were applied.
Twenty-four studies on different types of TMH applications were identified: bibliotherapy (7), telephone-delivered (11), computer-aided (3), online self-help group (1) and video-conference (2). Nearly all interventions lead to a significant improvement of OC symptoms. Effect sizes ranged from 0.46 to 2.5.
Preliminary evidence suggests that TMH applications represent a low-threshold, efficacious, time-effective and economic treatment for patients with OCD. Future studies are needed to further investigate the potential of TMH treatment to improve health care for patients with OCD.
只有一小部分强迫症（OCD）患者接受了足够的治疗。原因包括高度的羞耻感和污名化，以及专门治疗服务的匮乏。远程心理健康（TMH）治疗可以改善治疗情况，这已经在各种精神障碍中得到了证明。本综述批判性地评估了 TMH 应用于 OCD 患者的现有证据。综述重点关注包含暴露疗法和反应预防的研究，这是经过最佳验证的治疗方法。
通过计算机检索 PsycINFO 和 PubMed 数据库以及手动检索来确定相关文献。未对研究日期或研究类型进行限制。
确定了 24 项关于不同类型 TMH 应用的研究：自助阅读（7）、电话传递（11）、计算机辅助（3）、在线自助小组（1）和视频会议（2）。几乎所有的干预措施都显著改善了 OC 症状。效应大小范围从 0.46 到 2.5。
初步证据表明，TMH 应用为 OCD 患者提供了一种低门槛、有效、省时和经济的治疗方法。需要进一步的研究来进一步探讨 TMH 治疗改善 OCD 患者医疗保健的潜力。
